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INSTALL_2024
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR2600076
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INSTALL_2024
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Entry Properties
Last modified
2/23/2026 2:03:26 PM
Creation date
10/29/2024 8:54:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2024
RECORD_ID
PR2600076
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0005924
FACILITY_NAME
H&M PETROLEUM CORP
STREET_NUMBER
3780
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
3780 100 N TRACY BLVD TRACY 95304
Suite #
100
Tags
EHD - Public
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SAN <br /> J O A U I Environmental Health Department <br /> COUNTY <br /> Grrarness grows hare, <br /> Service Request Inspection Report <br /> Name of Facility: TRIANGLE PLAZA TRACY Date: 02/05/2026 <br /> Address: 3788 N TRACY BLVD , TRACY 95304 <br /> Requestor: SARAH JABLONSKY,WALTON ENGINEERING, INC Telephone: (916)373-1165 <br /> Program Element: 2303- UST/PIPING INSTALLATION Request#: SR0087879 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Juan Delgado ICC Service Tech/Installer Exp. Date: 7/22/2026 <br /> Manufacturer training: Xerxes, 06/07/26; OPW, 12/22/26; Bravo, 11/15/27 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> Service Technician Juan Delgado was on site and provided his ICC,Xerxes, NOV, OPW, and Bravo certifications; however, neither <br /> he nor anyone else on site had a valid Veeder-Root certification. Please provide a valid Veeder-Root certification. <br /> • Verified brine type and witnessed the initial brine addition in all brine-filled sumps. <br /> • Verified leak monitoring communication for all installed vacuum, pressure, or hydrostatic(VPH)components, including piping, <br /> sumps, and under-dispenser containment(UDC)sumps. <br /> • Verified continuity at all end points of each vacuum zone and each vacuum-monitored sump. <br /> • Observed that dispenser footprints did not fall within the UDC sumps. Per Service Technician Juan Delgado,deflector plates <br /> have been purchased but were not yet on site. <br /> • Witnessed one-hour hydrostatic testing of spill containers and verified minimum 5-gallon capacity for the 87, 91, R-99, and <br /> E-85 tanks.All passed. <br /> • Verified monitoring system functionality; all sensors passed. <br /> Additional requirements are still needed. Please refer to the approval letter dated December 13, 2024,for the full list of required <br /> inspections. <br /> Site is not approved to receive fuel. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Juan Delgado, Service Technician <br /> EH Specialist: MONICA DE ANDA Phone: (209)616-3063 <br /> SR0087879 SC131 02/05/2026 <br /> EHD Rev.09/16/2020 Page 1 of 1 Service Request Inspection Report <br />
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